An elderly woman who lives in an assisted living home comes…

An elderly woman who lives in an assisted living home comes to the clinic with her caregiver, who has noticed that this patient has diarrhea that has lasted >3 weeks and is not improving. The NP asks if this patient has taken any antibiotics in the past. The caregiver notes that 2 months ago she had dental treatment and was given an antibiotic for treatment.   Of the below-listed antibiotics, which has the highest potential risk for C. diff?

A 28-year-old male presents to the clinic with a bacterial i…

A 28-year-old male presents to the clinic with a bacterial infection that requires an antibiotic. He notes that he is a avid runner and wants to get back to running as quickly as possible. What class of antibiotics would you have concerns about prescribing? 

A 68-year-old male with a 40-pack-year smoking history and a…

A 68-year-old male with a 40-pack-year smoking history and a known diagnosis of Chronic Obstructive Pulmonary Disease (COPD) presents to the clinic with a 5-day history of increased shortness of breath, increased sputum production, and a change in sputum color from clear to yellow-green. He reports using his albuterol inhaler more frequently than usual with minimal relief. His baseline COPD is managed with a long-acting muscarinic antagonist (LAMA). Vital signs: T 99.8°F, HR 92, RR 22, SpO2 91% on room air. Lung auscultation reveals bilateral expiratory wheezes and coarse crackles at the bases.  According to the GOLD (Global Initiative for Chronic Obstructive Lung Disease) guidelines, which of the following is the most appropriate initial outpatient management plan for this exacerbation?